Leichsenring F
Abteilung Klinische Gruppenpsychotherapie, University of Göttingen, FRG.
Psychopathology. 1991;24(1):39-44. doi: 10.1159/000284695.
In the present paper Kernberg's hypothesis concerning the connection between primary process thinking on the one hand and primitive defense mechanisms and modes of object relationships on the other hand were tested empirically in a sample of 30 hospitalized borderline and 30 hospitalized neurotic patients. The diagnoses of the patients were given according to the 'Diagnostic Interview for Borderlines' of Gunderson and Kolb, the functions mentioned above were assessed on the basis of the Holtzman Inkblot Technique applying scoring systems of Lerner and coworkers for primitive defense mechanisms and of Urist for the scoring of object relationships to the Holtzman Inkblot Technique. According to the results the hypothesis derived from assumptions of Kernberg could be corroborated. Primary process thinking in borderline patients seems to be closely connected with high levels of anxiety and hostility, projective identification/projection, primitive denial and sadomasochistic relationships. A model for the coming about of primary process thinking in borderline patients is proposed.
在本论文中，克恩伯格关于一方面是原发性过程思维，另一方面是原始防御机制和客体关系模式之间联系的假设，在30名住院的边缘型患者和30名住院的神经症患者样本中进行了实证检验。患者的诊断依据冈德森和科尔布的“边缘型人格诊断访谈”给出，上述功能基于霍尔兹曼墨迹测验进行评估，应用了勒纳及其同事用于原始防御机制的评分系统以及乌里斯用于对霍尔兹曼墨迹测验中客体关系进行评分的系统。根据结果，源自克恩伯格假设的这一假说得到了证实。边缘型患者的原发性过程思维似乎与高水平的焦虑和敌意、投射性认同/投射、原始否认以及施虐受虐关系密切相关。文中提出了一个关于边缘型患者原发性过程思维形成的模型。
